JORDAN CANANKAMP (NPI# 1134621261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134621261 |
| Entity Type | Individual |
| Full Name | JORDAN CANANKAMP |
| Credential | PHARMD |
| Practice Address |
1097 Fledderjohn Rd Charleston WV 25314 |
| Mailing Address |
21961 Ne Chinook Way Fairview OR 97024-8615 |
| Practice Telephone | 3043453627 |
| Practice Fax Number | 3043464440 |
| Mailing Telephone | 8146441581 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH-0016706 | OR | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 03237491 | OH | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RP0010235 | WV | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
RPH-0016706 | OR | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1097 Fledderjohn Rd, Charleston, WV 253144208 | 3043453627 | 3043464440 |
| Street Address |
1097 FLEDDERJOHN RD |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133562 | Donald Halstead Moore | Emergency Medicine | 1097 Fledderjohn Rd, Ste 1, Charleston, WV 25314 | 2005-06-01 |
| 1558796763 | Michelle Lynn Knight | Pharmacist | 1097 Fledderjohn Rd, Ashton Medical Associates, Inc., Charleston, WV 25314-4208 | 2013-09-06 |
| 1669658555 | Manuel P Franco | Family Medicine | 1097 Fledderjohn Rd, Charleston, WV 25314-4208 | 2008-01-10 |
| 1699821702 | Ashton Medical Associates Inc | Family Medicine | 1097 Fledderjohn Rd, Charleston, WV 25314-4208 | 2007-01-25 |
| 1306935192 | John Hunter Lewis | Family Medicine | 1097 Fledderjohn Rd, Tmh Ashton Medical Associates, Charleston, WV 25314-4208 | 2006-10-12 |
| 1013947241 | Samar Ryiad Sankari | Internal Medicine | 1097 Fledderjohn Rd, Charleston, WV 25314-4208 | 2006-07-04 |
| 1801844303 | Mohammad Yousaf | Physician Assistant | 1097 Fledderjohn Rd, Charleston, WV 25314-4208 | 2006-05-05 |
| 1710945498 | Greg Mccartney | Physician Assistant | 1097 Fledderjohn Rd, Charleston, WV 25314-4208 | 2006-05-03 |
| 1649274044 | Michelle R Burdette | Family Medicine | 1097 Fledderjohn Rd, Charleston, WV 25314-4208 | 2005-06-13 |
| 1407858772 | Richard A. Capito | Emergency Medicine | 1097 Fledderjohn Rd, Charleston, WV 25314 | 2005-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033559 | Nancy Galvan | Technician | 4587 Kanawha State Forrest Dr., Charleston, WV 25314 | 2020-11-04 |
| 1093316424 | Emma Mccloud | Technician | 710 Colony Dr., Charleston, WV 25314 | 2020-11-03 |
| 1699376137 | Amanda Gail Evans | Technician | 11 Happy Hl, Charleston, WV 25314 | 2020-11-02 |
| 1457879074 | Samantha Pennington | Pharmacist | 1100 Fledderjohn Rd Kroger #785, Charleston, WV 25314 | 2017-09-04 |
| 1992180335 | John Anthony Palmer IIi | Dentist | 867 Oakwood Road, Charleston, WV 25314 | 2015-07-28 |
| 1285039727 | West Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 885 Oakwood Rd., Charleston, WV 25314 | 2014-10-27 |
| 1386980381 | Miranda L Broyles | Nurse Practitioner | 3200 Maccorkle Avenue Southwest, Charleston, WV 25314 | 2012-12-19 |
| 1548482896 | Christina M. Arco, Phd Pllc | Psychologist | 1013 B Oakhurst Drive, Charleston, WV 25314 | 2007-05-03 |
| 1578780359 | S & W Meeks Inc | Eyewear Supplier (Equipment, not the service) | 426 Division Street, South Charleston, WV 25314 | 2007-04-20 |
| 1669511853 | Gregory Alan Simmerman | Audiologist | 1105 Fledderjohn Road, Charleston, WV 25314 | 2007-02-05 |
| Find all providers in zip 25314 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955850 | Kristine Marie Brook | Pharmacist | 230 Albemarle Rd Rm 109, Charleston, SC 29407-7522 | 2020-09-02 |
| 1114545514 | Hayley Taylor Davis | Pharmacist | 169 Ashley Ave Rm 149, Charleston, SC 29425-8905 | 2020-07-12 |
| 1689296204 | Brittany Rebecca Cogdill Jones | Pharmacist | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2020-05-18 |
| 1316414055 | Catherine Elizabeth Rigdon | Pharmacist | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2018-10-31 |
| 1043799828 | Emily Catherine Ware | Pharmacist | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2018-08-12 |
| 1083119127 | Larry Brian Grant | Pharmacist | 59 George St, Charleston, SC 29401-1422 | 2018-03-29 |
| 1427595685 | James Arthur Vecchiolla | Pharmacist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2017-01-26 |
| 1225580947 | Kimberley Porter | Pharmacist | 135 Rutledge Ave, Room 106, Charleston, SC 29425-8903 | 2016-10-28 |
| 1861499378 | Thomas John Worrall | Pharmacist | 109 Bee St, Ralph H. Johnson Va Medical Center, Charleston, SC 29401-5703 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668001 | Louis James Soltesz | Pharmacist | 110 Berlin Rd, Weston, WV 26452-8366 | 2020-10-26 |
| 1245847128 | Christie Monahan | Pharmacist | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-09-25 |
| 1528678711 | Ryan Turner | Pharmacist | 198 Morgantown St Ste 1, Bruceton Mills, WV 26525-5003 | 2020-08-03 |
| 1700407608 | Angela Lynn Goodhart | Pharmacist | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-05-01 |
| 1104473354 | Liem Nguyen | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2019-08-22 |
| 1649752213 | Eleni Mermigas | Pharmacist | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2018-08-30 |
| 1528560661 | Janice Emiko Biernacke | Pharmacist | 1249 15th St, Huntington, WV 25701-3662 | 2018-03-05 |
| 1275052466 | Negar Hessami-ferdoosi | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2017-09-19 |
| 1528587342 | Megan Elavsky | Pharmacist | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2017-09-13 |
| 1336665066 | Jamie Katherine Schraer | Pharmacist | 908 Scarbro Road, Scarbro, WV 25917 | 2017-08-15 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 25314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.